Individual
MICHELLE VIVOAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
142 LOWELL RD UNIT 17-151, HUDSON, NH 03051-4938
(978) 233-1594
(877) 247-8587
Mailing address
12 MAIN ST FL 2, LEOMINSTER, MA 01453-5517
(978) 233-1594
(877) 247-8587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
083943-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2313491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153729A
—
MA
05
—
3127474
—
NH
01
—
HCP12151114807
CLOZAPINE REMS PROGRAM
MA
Enumeration date
02/02/2018
Last updated
02/28/2024
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